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LISANDRO ROBERTO FORTUNY
NPI 1104479203
Pathology - Anatomic Pathology & Clinical Pathology in Saint Louis, MO

Active since July 18, 2019PECOS Enrolled
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110(314) 362-5000 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Oct 7, 2025, Jul 18, 2019 (3 updates tracked since 2019).

About Lisandro Roberto Fortuny NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISANDRO ROBERTO FORTUNY (NPI 1104479203) is an individual anatomic pathology & clinical pathology provider in Saint Louis, Missouri, licensed in North Carolina (2026-03462) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1104479203
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameLISANDRO ROBERTO FORTUNY
Location Address1 BARNES JEW HOSP PLZSaint Louis, MO 63110-1003
Mailing Address660 S Euclid Ave # 8118Saint Louis, MO 63110-1010 · (314) 362-5000
Phone(314) 362-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 18, 2019
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1104479203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NC · 2026-03462
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License 97756 (GA)
Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X · License 036-161400 (IL)
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License 2019018934 (MO)
1 BARNES JEW HOSP PLZ, Saint Louis, MO 63110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisandro Roberto Fortuny is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729318175
PECOS Enrollment IDI20251114002147, I20260314000435
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Lisandro Fortuny reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University
6.4 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 77 clinicians in this Medicare group
NPI 1316987746 (314) 362-5641
Cook County
246 mi
Primary Care
1645 COTTAGE GROVE AVE
Ford Heights, IL 60411
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1760502439 (708) 753-5800
Choa Hospital Based, LLC
474 mi
Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 251 clinicians in this Medicare group
NPI 1457695488 (404) 785-6000
Usa Health Physician Billing Services LLC
563 mi
Emergency Medicine
2451 UNIVERSITY HOSPITAL DR
Mobile, AL 36617
  • Reassigned Medicare billing, Alabama enrollment
  • 857 clinicians in this Medicare group
NPI 1285292912 (251) 470-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALESSIO JOSEPH BEFFA MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7440
JOHN VERHEY MD
Emergency Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9177
DR. MACKENZIE ANN MCKNIGHT MD
Emergency Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9177
JOHN WILSON MD
Internal Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
DR. LINDSAY MARIE BRUCE MD
Student in an Organized Health Care Education/Training Program
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
JANE YUJING WANG MD
Internal Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5000
DR. JACOB TAYLOR STEINLE MD
Psychiatry & Neurology (Psychiatry)
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 362-2462
DR. DIEGO MOISSES PATINO MD
Internal Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 362-8065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisandro Fortuny's NPI number?

The NPI number for Lisandro Fortuny is 1104479203. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Lisandro Fortuny located?

Lisandro Fortuny practices at 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110. The listed phone number is (314) 362-5000.

What is Lisandro Fortuny's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Lisandro Fortuny enrolled in Medicare?

Yes. Lisandro Fortuny is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisandro Fortuny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisandro Fortuny reassigns Medicare benefits to 4 organizations: Washington University (Saint Louis, MO), Cook County (Ford Heights, IL), Choa Hospital Based, LLC (Brookhaven, GA) and Usa Health Physician Billing Services LLC (Mobile, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisandro Fortuny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisandro Fortuny accept?

Health plans from Blue Cross and Blue Shield of Alabama list Lisandro Fortuny as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisandro Fortuny was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.